Marijuana
Physicians, MM, & the law Intraprofessional cons. of legal inconsistencies
"pot docs": business centered on MM, could facilitate rec use, need restricting on ailments requiring MM "Quasi Medical Drug Dealer" : make $$ by providing patients with easy access to MM rather than serious treatment
Philipsen et al 4 Arguments
-Autonomy: protection of medical privacy -Nonmaleficence: side effects -Beneficence: therapeutic in nature -Paternalism: protecting those with less knowledge or ability from themselves
Risks/ Benefits of MM
-Higher risk in earlier use -Less risk of dependence than other drugs -Mostly patients who reported chronic pain -Drs risk losing DEA license
legality of marijuana
-Legal until 1937 when Marijuana Tax Act passed -Illegal under fed law as schedule class 1 drug under controlled substance act (DEA) -28 states with it legal -Probable age limit -Philipsen et al says based on a beliefs not scientific evidence
Research on MM
-No broad studies on efficacy or safety (can't legally do research) -Mild effects -No support as a gateway drug -CBD is therapeutic while THC is psychoactive -Pill form is harder to control, inhale is rapid
DEAs Requirements for Determining Medical Use of a Substance
1) Drug's chem must be known and reproducible 2) Must be adequate safety studies 3) Must be adequate and well- controlled studies proving efficacy 4) Drug must be accepted by qualified experts 5) Scientific evidence must be widely available
Ethical Issues for MM (Philipsen et al)
Edu requirements Control Criminal / health issue Palliative Care
In states where medical marijuana is legal, it is legal for doctors to prescribe marijuana to their patients.
False
Philipsen et al argue that controversy in the US about the decriminalization of cannabis to allow health care providers to recommend it for therapeutic use (medical marijuana) has been based on scientific evidence rather than on varying policies and beliefs about cannabis.
False
Marijuana has always been illegal in the United States.
False The use of marijuana remained legal in the US until 1937 when the federal government passed the Marijuana Tax Act, which provided a criminal fine for marijuana possession.
Marijuana has been researched extensively, specifically for its medicinal and/or therapeutic benefits.
False Most of the research in the US must go through the National Institute on Drug Abuse, which generally promotes the study of drug abuse in relation to marijuana and potentially addictive drugs, rather than the therapeutic effects or side effects
Physicians, MM, & the law Dispensing Concerns
Form, content, dosage, type can't be specified, unreg and unstandardized > safety concerns
Ethical Issues for MM
Good medicine? risks/ benefits Enough studies on efficacy and safety? Stereotypes/ stigmas Legal conseq Who will have access
Cannabidiol (CBD) is the therapeutic agent in marijuana, while delta-9-tetrahydrocannabinol (THC) is the psychoactive agent that produces the "high".
TRUE
Marijuana is illegal under federal law and is classified as a schedule 1 drug under the Controlled Substances Act (CSA).
TRUE
Those who highly value paternalism, protecting those with less knowledge or ability from themselves, find in it the basis for opposing the medical use of marijuana.
True
Physicians, MM, & the law Charlotte's Case
bad epilepsy Oil in cannabidiol not THC 300 > 1 seizures
